Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
HTLV-I ANTIBODY
Texarkana, TX
See all hospitals reporting CPT 86687 →Price type
CHRISTUS Health - Pine Street’s median price of $9 is 13% below the median hospital's median price ($11), higher than 30% of the 1,789 hospitals reporting CPT 86687. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 6 payers, 22 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | ||||
|---|---|---|---|---|
| 1 | UnitedHealthcare hix fee schedule · outpatient | $5.45 | $5.45 | $5.45 – $5.45 |
| 2 | UnitedHealthcare chip km fee schedule · outpatient | $7.83 | $7.83 | $7.83 – $7.83 |
| 3 | UnitedHealthcare star kid km fee schedule · outpatient | $7.83 | $7.83 | $7.83 – $7.83 |
| 4 | UnitedHealthcare star km fee schedule · outpatient | $7.83 | $7.83 | $7.83 – $7.83 |
| 5 | UnitedHealthcare star plus km fee schedule · outpatient | $7.83 | $7.83 | $7.83 – $7.83 |
| 6 | UnitedHealthcare all payer fee schedule · outpatient | $8.18 | $8.18 | $8.18 – $8.18 |
| 7 | Aetna mm fee schedule · outpatient | $9.09 | $9.09 | $9.09 – $9.09 |
| 8 | Bcbs Tx mm fee schedule · outpatient | $9.09 | $9.09 | $9.09 – $9.09 |
| 9 | Humana choicecare network mm fee schedule · outpatient | $9.09 | $9.09 | $9.09 – $9.09 |
| 10 | Molina medicare adv mm fee schedule · outpatient | $9.09 | $9.09 | $9.09 – $9.09 |
| 11 | UnitedHealthcare mm fee schedule · outpatient | $9.09 | $9.09 | $9.09 – $9.09 |
| 12 | Molina chip km fee schedule · outpatient | $9.54 | $9.54 | $9.54 – $9.54 |
| 13 | Molina healthspring star plus km fee schedule · outpatient | $9.54 | $9.54 | $9.54 – $9.54 |
| 14 | Molina star km fee schedule · outpatient | $9.54 | $9.54 | $9.54 – $9.54 |
| 15 | Molina star plus km fee schedule · outpatient | $9.54 | $9.54 | $9.54 – $9.54 |
| 16 | Humana choicecare fee schedule · outpatient | $23.83 | $23.83 | $23.83 – $23.83 |
| 17 | Bcbs Tx blue advantage hmo fee schedule · outpatient | $43.00 | $43.00 | $43.00 – $43.00 |
| 18 | Cigna ppo fee schedule · outpatient | $45.61 | $45.61 | $45.61 – $45.61 |
| 19 | Bcbs Tx heb fee schedule · outpatient | $47.27 | $47.27 | $47.27 – $47.27 |
| 20 | Bcbs Tx hmo fee schedule · outpatient | $47.27 | $47.27 | $47.27 – $47.27 |
| 21 | Bcbs Tx ppo fee schedule · outpatient | $52.45 | $52.45 | $52.45 – $52.45 |
| 22 | Bcbs Tx traditional fee schedule · outpatient | $55.54 | $55.54 | $55.54 – $55.54 |
Last updated: Jan 14, 2026
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